Dennis Pappas, MD
Otolaryngology · Birmingham, ALNPI 1548332463
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (28.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Med-el Corporation accounts for 87.8% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $6,191, 3.7 times the $1,691 reported in 2019. Among otolaryngology clinicians in AL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 64 payments — averaging $197.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Med-el Corporation$11K
- Advanced Bionics, LLC$1K
- Cochlear Americas$367
- Medtronic$17
- Stryker$17
What the payments were for
- Consulting fees$2,75022%
- Speaking & faculty fees$3,60028%
- Travel & lodging$2,98724%
- Food & beverage$3,30426%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Med-el Corporation | 39 | $11,095 |
| Advanced Bionics, LLC | 15 | $1,145 |
| Cochlear Americas | 8 | $367 |
| Medtronic | 1 | $17 |
| Stryker | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Mi1250 SYNCHRONY 2 FLEXsoft$9,155
- BCI 602 Kit$8,944
- ADHEAR Professional Kit$2,487
- VIBRANT Soundbridge Middle Ear Implant and BONEBRIDGE System$1,134
- HIRES ULTRA CI HIFOCUS MS ELECTRODE$655
- Baha$242
- Nucleus$127
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$115
- OSIA OSI300 IMPLANT$115
- HiResolution Bionic Ear System$106
How this compares
$12,641 in reported general payments places this provider in the 90th percentile of 155 otolaryngology providers in Alabama.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 63 | $3,842 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 20 | $1,054 |
| CefuroximeCefuroxime Axetil | 60 | $949 |
| Ofloxacin | 21 | $651 |
| Sulfacetamide Sodium | 16 | $387 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 73 | $343 |
| Dexamethasone | 26 | $298 |
| Meclizine Hcl | 26 | $227 |
| Ondansetron Hcl | 88 | $221 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $143 |
| Mupirocin | 11 | $69 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Birmingham
- Michael SillersBirmingham$53K
- Justin TurnerBirmingham$34K
- Bradford WoodworthBirmingham$27K
- Patrick OwensBirmingham$26K
- Kirk WithrowBirmingham$22K
- Do-Yeon ChoBirmingham$19K
- Andrew FusonBirmingham$18K
- Benjamin GreeneBirmingham$15K
- William BarberBirmingham$13K
- Ryan MarshallBirmingham$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.